Maternal Healthcare Scenarios: Assessments, Interventions, and Principles

1.frequent A woman, 22 years old, G1P0A0, 13 weeks pregnant, was hospitalized withrate complaints of nausea and vomiting. BP examination results 110/70 mmHg, pulse 88x/minute, respiratory rate 18x/minute, temperature 37.5oC, dry lips and skin turgor return in 3 seconds. The doctor gave advice on installing a 5% Dextrose infusion. Nurses must use the principle of non-maleficence when installing an IV.What principle of nonmaleficence does the nurse mean in this case? A. Install the infusion fairly B. Ready to help patients if needed at any time C. Install sterilely and carefully so that the patient does not suffer pain D. Explain honestly that this action is not very common E. Make a promise to the patient first before inserting the IV Answer Key: C. Install sterilely and carefully so that the patient does not suffer pain Discussion:The nurse is installing an IV using sterile and careful principles 1. Nonmaleficence = actions that do not harm other people, do not hurt other people. 2. Justice = justice. 3. Fidelity = keeping promises. 4. Veracity = honest. 5. Beneficence = the act of helping other people. 6.installing Nonmaleficence Actions that do not harm other people, not hurt other people by it sterilely=and carefully so that the patient is not indopain. 2.husband A woman, 24 years old, G2P1A0 36examination weeks pregnant, came to bemmHg, accompanied by her to the obstetrics clinic. BP results 140/100 pulse rate 94x/minute, respiratory rate 18x/minute, temperatureto37oC, patient complains of dizziness, slightly blurry eyes, sometimes it feels uncomfortable stand.What other physical examinations must be completed in this case? A. Edema B. CHAPTER pattern C. Sleep patterns D. Body posture E. Rest pattern Answer Key: A. Edema Discussion:CASE of preeclampsia: three data: high BP,pressure edema, proteinurine. Thedizziness, focus data in the case above is 36 weeks of gestation, blood 140/100 mmHg, slightly blurry eyes, sometimessufferers it feels uncomfortable to stand areresistance signs andwhich symptoms ofmanifested preeclampsia.Preeclampsia experience blood vessel is to by high blood pressure. Due to blood vessel resistance, the blood supply all organs decreases, resulting in a decrease in multi-organ function which is manifested by the eyescausing with blurred the brain with complaints of dizziness, kidney function decreases edemavision, and protein urine. 3.clinic, A woman, 26 yearsofold, G1P0A0,pain 37 weeks pregnant, wasexamination brought by her husband to the complaining abdominal and feeling hot. BP results 120/80 mmHg, pulsecomplaints rate 94x/minute, respiratorytheratemouth 18x/minute, temperature 37oC, TFU 34 cm, patient with that sometimes feels sour, gets tired easily, and the stomach feels full.What is the appropriate action plan in this case? A. Teach distraction techniques B. Position the patient sitting with his back C. Suggest the patient drink warm milk D. Give biscuit crackers whenever complaints arise E. Prohibit the patient from sleeping immediately after eating Answer Key: E. Prohibit the patient from sleeping immediately after eating. Discussion:Data focus: 37sour, weeks pregnant, complaints ofthe painthird in the stomach, feeling hot, sometimes mouth feels tired, stomach feels full. In trimester of pregnancy, the stomach pouchfillsshrinks dueregurgitation to pressure from theeasily, fetus,which the esophagus shifts slightly, the gastric pouch quickly, occurs is why the mouth feels sour. If the patient finishes eating, the food in the stomach that has shrunk will rise into the esophagus, causing regurgitation or reflux. 4.pregnancy A woman,check 24 years old,Community primigravida, 25 weeks pregnant, her husband took her mmHg, to the Health Center. BP examination results 110/70 pulse rate provides 84x/minute, respiratory rate"Nutrition 18x/minute, temperature 37oC,has BB finished 45 kg LILA 19 cm. The nurse education about for Pregnant Women", delivering the material.What is the next step for the nurse to take in this case? A. Greetings B. Giving praise C. Close the meeting D. Concluding the material E. Conduct questions and answers Answer Key: D. Summarizing the material discussion : Data focusage. on the case above: The results of the weight assessment dofornot match the gestational The nurse provides education about "What is nutrition pregnant women?". Answer: The stepinthe nurseeducation takes afterinclude: providing education is to summarize the material.Stages health 1. Greeting. 2. Apperception about the nutrition of pregnant women. 3. Deliver the material. 4. Conduct questions and answers. 5. Concluding the material. 5.with A woman, 23 years old, primigravida, 12BPweeks pregnant,results was admitted to the pulse hospital complaints of nausea and vomiting. examination 100/70 mmHg, rate 94x/minute, respiratory rate 20x/minute, temperature 37.5oC, patient with complaints of weakness and prolonged skin turgor. The nurse is installing the infusion, the infusion tube has been connected to the infusion bottle. What is the next step in nursing action in this case? A. Remove air from the IV tube B. Unscrew the needle C. Fill the drip tube D. Drain fluid E. Clamping the hose Answer Key: C. Filling the drip tube Discussion:Focus data Thebottle, nurse will installstep an ininfusion, the infusion connected to the infusion the next the nursing action istube to fillhasthebeen drip tube. Steps to install an IV: 1. Connect the tube to the infusion bottle. 2. Fill the drip tube. 3. Open the clamp. 4. Flow fluid while removing air. 5. Clamping the hose. 6. Ready to stab.